Organization
CLINT VERRAN SPORTS MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT VERRAN PT (OWNER)
(248) 693-9411
Entity
Organization
Contact information
Practice address
1261 S LAPEER RD, SUTIE 102, LAKE ORION, MI 48360-1419
(248) 693-9411
(248) 693-9412
Mailing address
1261 S LAPEER RD, SUITE 102, LAKE ORION, MI 48360-1419
(248) 693-9411
(248) 693-9412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010788
MI
Other
Enumeration date
03/22/2007
Last updated
12/05/2007
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